This article first appeared in the November 2024 issue of Dental Economics Magazine The October 15 tax bill is paid, which means the tax agony is over—for now, anyway. It is time to think about making money instead of giving it to our bloated bureaucracy. The...
Insights
Largest IDSO Recapitalization Ever and Post Election Comments
The Largest Invisible Dental Support Organization (IDSO) in the country completed their third recapitalization immediately after the U.S. election. Over 700 partner doctors were able to harvest profits from their retained equity ownership at long-term capital gains tax rates.
First Half of 2024 Results: Fact vs. Fiction
Contrary to popular belief, practice values in IDSO (invisible dental support organization) partnerships continued to achieve new records in the first half of 2024 for larger, growing Large Practice Sales (LPS) clients nationally. Fortunately, new investors in IDSOs are not just private equity.
5 billion dollars, do you have invisible DSOs in your town?
In short, you sure do. The question is—are they people you need to meet? Join Chip Fichtner and get the stone cold truth on what's working, what isn't, who actually gets 10x EBITDA, who doesn't, why, and what to do about it. With five billion in injected money since...
LPS Closed $153+ Million of IDSO Partnerships in July
LPS completed over $153,000,000 (one hundred and fifty-three million dollars) of IDSO partnerships for GPs and specialists in July with seven different IDSOs in seven states. More importantly, over $50 million of these IDSO partnerships were valued at over 10x EBITDA.
Racing Techniques Create Higher Practice Values
When LPS has a larger client in a region that will command a dozen or more eager bidders at very high values, other LPS clients in the area can often get a significant value increase.
The Haves and the Have Nots For Practice Values
LPS client values in some cases set new records in the first half of 2024, but not all. How did LPS get 10x EBITDA for one GP practice but only 7.5x for another? Or what about the pedo/ortho practice that achieved 11x EBITDA, but another practice in a better geography...
In the last nine months, LPS clients have become the platform practices for two NEW IDSOs
Two young and growing LPS clients were eager to help build an IDSO from scratch. After 10+ qualified bidders each, we partnered each of them with two very experienced IDSO investors.
Practice Partnership S2 E2: The IDSO Blacklist: How to Choose the Right Partner
Venture into the hidden dangers of Dental Support Organizations with me, Chip Fitchner of Large Practice Sales, as we dissect …
The New Ortho Practice Value Reality of April 2024
Orthodontic practices have achieved exceptional values in LPS client IDSO bidding processes for over seven years. In 2023, LPS client values exceeded 4X COLLECTIONS for several ortho practices and over 12.2x EBITDA for a nine-office client. In the last 24 months, LPS...
The LPS Secret Sauce, Part 1: Our Advisory Board
You don’t get to be the biggest advisor achieving the highest values for your dental practice clients without a unique strategy. One of LPS advantages is our “insider information” not just in dental, but across the general economy and geopolitical landscape; all which...
Endo Upended; Do You Really Know What is Happening in Your Area?
Endodontic specialists to some degree live on referral island. Isolated from the vicissitudes of new patient marketing now required by general dentists, orthodontists, oral surgeons and periodontists to achieve double digit growth rates, endodontists blissfully rely...
New IDSO Partnership Opportunities for Periodontists in 2024
Contrary to popular belief, dental practice values in the U.S. are still setting new records in 2024. Yes, interest rates have impacted some Invisible Dental Support Organizations (IDSO) but just in Q1 2024, over $3.3 BILLION of new capital/credit was invested in...
Top 12 Points About Practice Values in 2024 in IDSO Partnerships
Record Values Growing practices are setting new record values. If you are a younger doctor with one or more partners or associates and have collections in 2024 above 2023, values are still high. Record Number of IDSO Bidders Many IDSOs have stopped new partnerships...
Timing and Earn Outs; Get Paid for Your FUTURE Performance
Since the onset of Covid, four years ago, every one of the IDSO partnerships created for LPS clients ($1.0+ billion in the last 24 months) has included an Earn Out component. Doctors get paid for their incremental growth in EBITDA or collections in the two years AFTER...
The Top Nine Concerns of Entering an IDSO Partnership
Many dentists have concerns of entering into an IDSO partnership. I’m going to debunk the top 9 that I hear often.
Dentistry Unmasked: Inside the world of invisible DSOs | with Chip Fichtner
In this episode of “Dentistry Unmasked” with Dr. David Rice and Dr. Pamela Maragliano-Munz, guest Chip Fichtner of Large Practice Sales dives into the dynamic and often misunderstood world of dental practice consolidations and DSO (Dental Service Organization) partnerships
Unveiling the Unseen: Inside the World of Invisible DSOs with Chip Fichtner!
Embarking on a partnership with a Dental Service Organization (DSO) can be a daunting decision for dentists, fraught with uncertainties about autonomy, practice dynamics, and professional perception. Will patients and peers view the move as “selling out”?
Top 10 Dental Practice Attributes for Highest Values
Practice values in an IDSO partnership vary based upon a number of factors. Timing cannot be stressed enough. With more than 1000 IDSOs and DSOs searching for dental practices to partner with our purchase, values will change significantly depending upon who wants...
The Big Picture for IDSO Partnership; 2023 Results & 2024 Forecast
In 2023 many LPS clients including GP and all specialties achieved record value IDSO partnerships after considering a record number of qualified bidders. Our record for the year was a $43 million partnership at 14+x EBITDA. A miracle not to be repeated in 2024, I am...